直肠癌保肛术后低位前切除综合征患者症状感受和应对体验的质性研究  

A qualitative study on the symptom perception and coping experience of patients with low anterior resection syndrome after anus-preserving surgery for rectal cancer

作　　者：王孟妮 王方 杨建 王红丽 庞晨晨 韩梦丹 Wang Mengni;Wang Fang;Yang Jian;Wang Hongli;Pang Chenchen;Han Mengdan(General Surgery,Affiliated Cancer Hospital of Zhengzhou University&Henan Cancer Hospital,Zhengzhou 450000,China;School of Nursing and Health,Henan University,Kaifeng 475000,China)

机构地区：[1]郑州大学附属肿瘤医院河南省肿瘤医院普外科,郑州450000 [2]河南大学护理与健康学院,开封475000

出　　处：《中华现代护理杂志》2024年第3期330-335,共6页Chinese Journal of Modern Nursing

基　　金：河南省医学科技攻关计划(LHGJ20210189)。

摘　　要：目的深入了解直肠癌保肛术后低位前切除综合征(LARS)患者症状感受和应对体验。方法本研究采用质性研究中的现象学研究法。采用目的抽样法,选取2022年10月—2023年1月在河南省肿瘤医院门诊复查或住院的15例直肠癌保肛术后LARS患者为研究对象进行半结构式深入访谈,采用Colaizzi 7步分析法对访谈资料进行分析、归纳并提炼主题。结果提炼出4个主题:对症状的态度和情绪反应、受症状影响的日常活动、对症状管理策略的应对状态、对症状多维度支持的需求。结论直肠癌保肛术后LARS患者存在诸多不适症状,渴望得到支持与帮助。医护人员应重视患者症状管理的复杂性,并及时进行有效的症状评估和干预,提供以患者为中心的综合性支持护理,提高其生活质量。Objective To explore the symptom perception and coping experiences of patients with low anterior resection syndrome(LARS)after anus-preserving surgery for rectal cancer.Methods This study adopted the phenomenological research method in qualitative research.From October 2022 to January 2023,purposive sampling was used to select 15 postoperative LARS patients with rectal cancer who underwent anus-preserving surgery and underwent outpatient follow-up or hospitalization at Henan Cancer Hospital as the research subject for semi-structured in-depth interviews.Colaizzi 7-step analysis method was used to analyze,summarize,and extract themes from interview data.Results Four themes were extracted,including attitudes and emotional responses towards symptoms,daily activities influenced by symptoms,coping status with symptom management strategies,and the need for multidimensional support for symptoms.Conclusions LARS patients after anus-preserving surgery for rectal cancer have many discomfort symptoms and are eager to receive support and assistance.Medical and nursing staff should pay attention to the complexity of patient symptom management and promptly conduct effective symptom assessment and intervention,providing patient-centered comprehensive supportive nursing,and improving their quality of life.

关 键 词：直肠肿瘤 低位前切除综合征 症状感受 应对体验 质性研究 

分 类 号：R473.73[医药卫生—护理学]